Prevalence of unintended pregnancy and its associated factors: Evidence from six south Asian countries.

<h4>Aim</h4>Unintended pregnancy is a significant public health concern in South Asian countries because of its negative association with the socioeconomic and health outcomes for both children and mothers. The present study aimed to explore the prevalence of unintended pregnancy and exp...

Descripción completa

Guardado en:
Detalles Bibliográficos
Autores principales: Alamgir Sarder, Sheikh Mohammed Shariful Islam, Maniruzzaman, Ashis Talukder, Benojir Ahammed
Formato: article
Lenguaje:EN
Publicado: Public Library of Science (PLoS) 2021
Materias:
R
Q
Acceso en línea:https://doaj.org/article/ffb538da40c943b2808e61828bf9cf03
Etiquetas: Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
id oai:doaj.org-article:ffb538da40c943b2808e61828bf9cf03
record_format dspace
spelling oai:doaj.org-article:ffb538da40c943b2808e61828bf9cf032021-12-02T20:11:27ZPrevalence of unintended pregnancy and its associated factors: Evidence from six south Asian countries.1932-620310.1371/journal.pone.0245923https://doaj.org/article/ffb538da40c943b2808e61828bf9cf032021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0245923https://doaj.org/toc/1932-6203<h4>Aim</h4>Unintended pregnancy is a significant public health concern in South Asian countries because of its negative association with the socioeconomic and health outcomes for both children and mothers. The present study aimed to explore the prevalence of unintended pregnancy and explore its determinants among women of reproductive age in six South Asian countries.<h4>Methods</h4>Nationwide latest demography and health survey data from six South Asian countries, including Bangladesh (2014), Pakistan (2017-2018), Nepal (2016), Afghanistan (2015), Maldives (2016-2017) and India (2015-2016) were pooled for the present study. Multivariate analysis was performed to explore the association between unintended pregnancy and its associated factors.<h4>Results</h4>Amongst the total women (n = 41,689), overall, 19.1% pregnancies were reported as unintended (ranging from 11.9% in India to 28.4% in Bangladesh). The logistic regression model showed that younger women (15-19 years) had 1.42 times higher chance of unintended pregnancies. The odds of unintended pregnancies was 1.24 times higher for poorest women and 1.19 times higher for poorer women. Further, urban women (aOR = 0.70, 95% CI = 0.50-0.80), women having no children (aOR = 0.10, 95% CI = 0.09-0.12), smaller (≤4) family (aOR = 0.72, 95% CI = 0.67-0.78), those who intent to use contraceptive (aOR = 0.72, 95% CI = 0.60-0.86), currently living with partner (aOR = 0.90, 95% CI = 0.81-0.99), first cohabitation in teenage (≤19 years) (aOR = 0.85, 95% CI = 0.78-0.92) were less likely to report unintended pregnancies.<h4>Conclusions</h4>This study has showed that women's age, wealth index, place of residence, number of children, family size, the intention of contraceptive use, living with a partner, and first cohabitation age are essential determinants of unintended pregnancy. These factors should be considered when trying to reduce unintended pregnancy in six South Asian countries. However, there is a need to improve health education, counselling, skills-building, sex education, modern contraceptive use and its access in this region. Intervention programs regarding reproductive health and policies are warranted to reduce rates of unintended pregnancy in South Asian countries.Alamgir SarderSheikh Mohammed Shariful IslamManiruzzamanAshis TalukderBenojir AhammedPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 2, p e0245923 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Alamgir Sarder
Sheikh Mohammed Shariful Islam
Maniruzzaman
Ashis Talukder
Benojir Ahammed
Prevalence of unintended pregnancy and its associated factors: Evidence from six south Asian countries.
description <h4>Aim</h4>Unintended pregnancy is a significant public health concern in South Asian countries because of its negative association with the socioeconomic and health outcomes for both children and mothers. The present study aimed to explore the prevalence of unintended pregnancy and explore its determinants among women of reproductive age in six South Asian countries.<h4>Methods</h4>Nationwide latest demography and health survey data from six South Asian countries, including Bangladesh (2014), Pakistan (2017-2018), Nepal (2016), Afghanistan (2015), Maldives (2016-2017) and India (2015-2016) were pooled for the present study. Multivariate analysis was performed to explore the association between unintended pregnancy and its associated factors.<h4>Results</h4>Amongst the total women (n = 41,689), overall, 19.1% pregnancies were reported as unintended (ranging from 11.9% in India to 28.4% in Bangladesh). The logistic regression model showed that younger women (15-19 years) had 1.42 times higher chance of unintended pregnancies. The odds of unintended pregnancies was 1.24 times higher for poorest women and 1.19 times higher for poorer women. Further, urban women (aOR = 0.70, 95% CI = 0.50-0.80), women having no children (aOR = 0.10, 95% CI = 0.09-0.12), smaller (≤4) family (aOR = 0.72, 95% CI = 0.67-0.78), those who intent to use contraceptive (aOR = 0.72, 95% CI = 0.60-0.86), currently living with partner (aOR = 0.90, 95% CI = 0.81-0.99), first cohabitation in teenage (≤19 years) (aOR = 0.85, 95% CI = 0.78-0.92) were less likely to report unintended pregnancies.<h4>Conclusions</h4>This study has showed that women's age, wealth index, place of residence, number of children, family size, the intention of contraceptive use, living with a partner, and first cohabitation age are essential determinants of unintended pregnancy. These factors should be considered when trying to reduce unintended pregnancy in six South Asian countries. However, there is a need to improve health education, counselling, skills-building, sex education, modern contraceptive use and its access in this region. Intervention programs regarding reproductive health and policies are warranted to reduce rates of unintended pregnancy in South Asian countries.
format article
author Alamgir Sarder
Sheikh Mohammed Shariful Islam
Maniruzzaman
Ashis Talukder
Benojir Ahammed
author_facet Alamgir Sarder
Sheikh Mohammed Shariful Islam
Maniruzzaman
Ashis Talukder
Benojir Ahammed
author_sort Alamgir Sarder
title Prevalence of unintended pregnancy and its associated factors: Evidence from six south Asian countries.
title_short Prevalence of unintended pregnancy and its associated factors: Evidence from six south Asian countries.
title_full Prevalence of unintended pregnancy and its associated factors: Evidence from six south Asian countries.
title_fullStr Prevalence of unintended pregnancy and its associated factors: Evidence from six south Asian countries.
title_full_unstemmed Prevalence of unintended pregnancy and its associated factors: Evidence from six south Asian countries.
title_sort prevalence of unintended pregnancy and its associated factors: evidence from six south asian countries.
publisher Public Library of Science (PLoS)
publishDate 2021
url https://doaj.org/article/ffb538da40c943b2808e61828bf9cf03
work_keys_str_mv AT alamgirsarder prevalenceofunintendedpregnancyanditsassociatedfactorsevidencefromsixsouthasiancountries
AT sheikhmohammedsharifulislam prevalenceofunintendedpregnancyanditsassociatedfactorsevidencefromsixsouthasiancountries
AT maniruzzaman prevalenceofunintendedpregnancyanditsassociatedfactorsevidencefromsixsouthasiancountries
AT ashistalukder prevalenceofunintendedpregnancyanditsassociatedfactorsevidencefromsixsouthasiancountries
AT benojirahammed prevalenceofunintendedpregnancyanditsassociatedfactorsevidencefromsixsouthasiancountries
_version_ 1718374922789584896